According to the Roll Call, the White House will be taking a major role in the merging of the bills from the Senate Finance Committee and from the Senate HELP Committee. And we know who’ll be there at the table from the White House:
White House Chief of Staff Rahm Emanuel and Nancy Ann DeParle, Obama’s chief health care adviser, are expected to be at the table throughout the talks. White House Office of Management and Budget Director Peter Orszag also is set to play a role, primarily on issues where health care and the federal budget intersect. Staff from the administration, leadership and the committees began joint preparations for the merger of the bills about a week ago.
As Brian Beutler over at TPM has said, Rahm Emanuel has advocated for a trigger on the public option along with Peter Orszag, who also said that co-ops and triggers would work as competitive alternatives to the public option. We now know that the White House is pushing for some "form" of the public option that won’t lose centrist votes. The question becomes–what kind of a public option are they pushing for? At this point, we don’t know if they’re going to push for a national public option that’s run by the government, like the one envisioned by Schumer and by Rockefeller because the White House doesn’t want to lose the votes of Senate moderates:
But Obama and Reid are treading carefully, wary of including a provision that would scare off moderates such as Snowe, Nelson and Blanche Lincoln, D-Ark., who have all indicated they would not support a national public plan.
And another Roll Call story has indicated that the Snowe trigger is still very much alive and on the table:
Because the Finance proposal to create nonprofit health insurance cooperatives has not gained much traction with centrists, leaders have instead focused on finding a way to create a public option that could satisfy both liberals’ and moderates’ concerns, while also bringing more competition to private insurers. Many, including White House officials, see the answer to that problem in Sen. Olympia Snowe’s (R-Maine) proposal to create a "trigger" for a public option in the event other health insurance reforms in the bill do not successfully drive down health insurance costs nor increase coverage. The bonus, they calculate, is that Snowe would sign on to such a bill and help the leaders shore up the votes of wavering centrists.However, Sen. Tom Carper (D-Del.), a leader of the recently formed Moderate Dems Working Group, has proposed allowing states to create public plans or co-ops if they so choose. Last week, senior Democratic aides said the proposal had significant potential as a possible compromise.
From here, we can see that Rahm Emanuel and Peter Orszag will be heavily involved in the merging of the bills from the Senate Finance Committee and the Senate HELP Committee. The final shape of the public option will be due to their input from President Obama if he weighs in on this matter as the Senators want him to do so. And it’s also up to Senator Harry Reid, who will be hosting these talks with the WH staff, Chairman Baucus, Chairman Harkin, and Dodd on whether to include the public option in the final merged bill.We’re not the only ones just looking to the Senate. The House is looking to final action from the Senate as well because they don’t want to take the political risk of voting for a more liberal bill than the one out of the Senate. I’ve included a link to the full article as well here.
Aides say the House’s deliberations slowed because many Members wanted to see what emerged from the Senate Finance Committee before making commitments. And some complain that the White House has refused to get its hands dirty after President Barack Obama came to Congress to deliver his health care address last month.In the meantime, Speaker Nancy Pelosi (D-Calif.) has been loath to commit publicly to any specifics beyond saying that some form of a public insurance option will be in the House bill, as she faces a fractious Caucus that seemingly spawns a new subgroup every week demanding that something be either included or excluded from the bill.
And they’re also aware about the problems of having regulations, the mandate, and the exchange getting started in 2013, after two election cycles:
Other Democrats are increasingly nervous that the bill must do more to improve the insurance market before 2013, when a national insurance exchange for the uninsured is scheduled to begin.“There is a giant problem with the fact that nothing happens until 2013 and there are two elections in the intervening years,” the aide said. Majority Whip James Clyburn’s (D-S.C.) proposal to include state pilot programs sooner has gained traction, although how that would be accomplished and funded has not been resolved.
The endgame is finally here, and we’ll see where the pieces and the players fall in on the public option in the final conference bill.



13 Comments







Thanks for the report. I was struck by:
Duh. . . Didn’t we start writing about that when HR 3200 came out and they said it had “a robust public option”?
This is so screwed up. The White House pays no attention to those crazies on the left who advocate for health care reform NOW! Fine. When the general public finds out that nothing will happen for years and after two elections, they will be furious and vote out any incumbent. When I talked to Senator Tester he was still operating on the assumption that people in Montana will always vote for the lesser of two evils. I told him not to count on that this time. He was surprised at that. The Senate is a bubble, a big bubble filled with a lot of hot air and wasted breath. And I take no comfort in my role as a Cassandra.
lesser of two evils ?!?!
how is it that Senator Tester is unaware of what all those MT County Chairs signed a month back ?!?!?
Nancy Ann DeParle what is your read on this player? How does she get along with Rahm?
they’re on the same team with the same &%^*!$@! goals period
Not good next question is she as incompetent and unethical as Rahm? The last thing we need is a competent villain.
Do we need those votes if we attach this to the budget? Heck if we attach it to war funding we get GOP votes things are only impossible if we give up ahead of time.
Ever the optimist.
Hope life is treating you well.
If the Myans were right and the end of the world is going to come in 2012, we will have some things on Healthcare, only one year after we are all gone.
Trigger was Roy Roger’s horse, and a triggered option is horse sense. Horses asses are what is proposing such a thing, so what can we expect. We have horses asses in the Congress, horses asses for a populus, so we will get horse doodoo piled to the sky, instead of reall Healthcare.
I love your Roy Roger’s response. Trigger was a beautiful horse. Obama is a moderate and not on our side. Viva la revolution!
Remember When Obama was in Central America at that conference. He told those Governments that we, the American People don’t do revolution.
We don’t do it because our Constitution gives the Government the right to put down anything like that. If we ever revolted they would turn the guns on us just like Iran did to their people.
The law says the Military can’t be used for law inforcement, but it does not say it can’t be used to put down a revolution.
The Government has showed us many times, that protecting themselves is more important than protecting us. They built bunkers for themselves in the cold war, and for the Military, but no civilian shelters. The people were so ignorant, they didn’t take notice of this. If we were all killed what the hell would we need with them.
Again and again the Obama WH is showing no genuine intent to do anything other than scuttle any viable so called public option.
Barack Obama and his WH seem very unwilling to do the politics required to put in Single Payer,put in a viable National Public Option or to frame any of this in ways that deal out the “Just Say No” Republicans and do the right thing in terms of establishment of a strong precursor to American National Single Payer coming into being.
The money politics Obama and his WH are playing in open daylight or behind closed doors put the lie to much of his campaign rhetoric grandstanding.
Waiting until 2013 for any of this to come into being is pure chicken shit politics given the fake urgency now being trumpeted about how it must be done before this session of the Washington HeeHaw Show comes to an end.
Why not take another full year which would put this into 2010 election playoffs which would surely help flush the skunks out during the campaign process?
I don’t care if Obama WH wants to insulate itself from 2012 election duress either. Already it is plainly evident Barack Obama played many of his avid supporters for chumps judging from who he has picked to surround himself with (Rahm Emanuel this means you) and this dither,wither and slither Obama WH routine we see taking place over and over.
Ditching Single Payer was truly venal politics and now trying to smother any viable robust national public option is pure manure shoveling on part of the Obama WH and a truly underwhelming number of Democrats in Congress.
Now there is talk of letting each state set up a public insurance plan. So who wins that corruption prone gambit? If you are from Ohio does your Ohio Plan Card cover you while in Vermont? Does your Texas Plan Card cover you while in Oregon? This idea is little more than trying to tie up any viable public option fifty ways.
There is no true reason to be pushing any reform having to be set in place here in late 2009. Let this spill over into 2010 elections and lets see who the Democratic Party skunks are and vote a bunch of them out.
Waiting until 2013 to begin anything is a chicken shit politics ploy on part of this Obama WH. Screw that.
If this Obama WH can’t do forthright leadership politics but chooses to wallow in corrupted money politics they deserve to be voted out and should be voted out.
Medicare For All or nothing. Anything less than MFA is just that–nothing.